Question 335 · LEK · Ovarian cysts
The gold standard for treating ovarian torsion is:
- A. conservative treatment (hormonal contraception, non-steroid anti-inflammatory drugs, antiobiotic treatment).
- B. surgical treatment, such as laparoscopy or laparotomy, intended to preserve the ovarian functions (restoring ovarian mobility and normal blood supply).
- C. surgical treatment based on laparoscopy or laparotomy which should always involve adnexectomy due to high risk of recurrence.
- D. surgical treatment using laparoscopy or laparotomy associated with the removal of the reproductive organ (bilateral andexectomy and supravaginal uterine amputation).
- E. transvaginal attempt aimed at untwisting the ovary (to restore mobility of the ovary and normal blood supply).
Hint
Torsion is a surgical emergency, and the modern approach prioritises saving the ovary even when it looks dark and congested.
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